| NPI | 1780455501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS KERSHNER Manager 303-859-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |